Autoimmune Not On Brainscape Flashcards

1
Q

How does autoimmunity occur

A

Breakdown of central tolerance
- failure to delete auto reactive t or B cells

Breakdown of peripheral tolerance

  • regulatory T cell deficits
  • impaired immunomodulation
  • altered self antigens

Activation of auto reactive B cells

  • T cell independent activation
  • carrier effect
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2
Q

Hashimotis self antigen

A

Thyroid peroxidase and thyroglobulin

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3
Q

T1DM self antigen

A

Proteins in pancreatic island cell

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4
Q

Multiple sclerosis self antigen

A

Myelin sheath

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5
Q

Goodpastures self antigen

A

GMB

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6
Q

Addisons self antigen

A

Steroid 21 hydroxylase in adrenal cortex

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7
Q

Graves self antigen

A

TSH receptor

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8
Q

MG self antigen

A

ACH receptor

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9
Q

Pernicious anaemia self antigen

A

Intrinsic factor and parietal cells

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10
Q

Autoimmune haemolytic anaemia self antigen

A

RBC antigens

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11
Q

RA self antigen

A

Rheumatoid factor- Fc portion of IgG

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12
Q

SLE self antigen

A

Ds DNA plus histones

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13
Q

Sjorgens syndrome self antigen

A

Nuclear antigens- Ro and La

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14
Q

Autoimmune diseases that are type IV hypersensitivity

A
  • hashimotos
  • T1DM
  • multiple sclerosis
  • addisons
  • RA
  • sjorgens syndrome
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15
Q

Autoimmune diseases that are type II hypersensitivity

A
Good pastures
Graves
MG
Pernicious anaemia 
Autoimmune haemolytic anemia
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16
Q

Autoimmune diseases that are type III hypersensitivity

17
Q

What does sjorgens syndrome cause

A

Dry eyes, mouth and arthritis

18
Q

Antibody in lambert Eaton myasthenia syndrome

A

Anti voltage gated Ca2+ channel

19
Q

What is the significance of primary autoantibodies

A
  • drive disease

- if removed via plasmapheresis then symptoms are alleviated

20
Q

Which diseases tested for by immune fluorescence

A
T1DM
goodpastures 
Addisons
Pernicious anaemia 
SLE
21
Q
How test for 
Hashimotos 
MG
HDN/autoimmune haemolytic anaemia 
SLE
RA
A
Hashimotos - infiltration T cells 
MG- radioimmunoassay 
HDN/autoimmune haemolytic anaemia  - coombs
SLE- radioimmunoassay
RA- agglutination
22
Q

What bacteria and antigen can cause rheumatic fever

A
  • steptococcus pyogenes m protein

- antigen in cardiac muscle

23
Q

What bacteria and antigen can cause guillian barre

A
  • campylobacter jejuni glycoproteins

- myelin associated gangliosides

24
Q

What bacteria and antigen can cause T1DM

A

Coxasakieviruse B4 nuclear protein

Pancreatic island cell

25
What bacteria and antigen can cause haemolytic anemia
Chlamydia trachomatis | Red blood cells
26
What can d-penicillamine induce
MG Pemphigus SLE Glomerulonephritis
27
What drug MG Pemphigus SLE Glomerulonephritis
D- penicillamine
28
What can methyldopa induce
Haemolytic anaemia
29
What drug induce Haemolytic anaemia
Methyldopa
30
What drug induce SLE
Hydralazine Procainamide Isoniazid Minocycline
31
Hydralazine Procainamide Isoniazid Minocycline What disease???
SLE
32
Treatment hashimotos, T1DM, addisons, pernicious anaemia
Replacement therapy
33
Treatment multiple sclerosis
Anti inflammatory drugs | Monoclonal antibodies
34
Treatment goodpastures
Plasmapharesis, cytotoxic drugs, renal dialysis
35
Treatment graves
Anti thyroid drugs, plasma paresis, surgery
36
Treatment MG
Anticholinesterase, immuno suppressive drugs, plasmapharesis
37
Treatment autoimmune haemolytic anaemia
Anti inflammatory drugs , splenectomy
38
Treatment RA
Immune suppressive drugs, splenectomy
39
Treatment SLE
Immunosuppressive drugs, monoclonal antibodies